NAME: 		Charles Jones                                           	MR# 342397
ALLERGIES:		NKA                                                                ROOM # ____347_____
DIAGNOSIS: 		HTN R/O MI, R/O CHF                          	ADMITTED: __08/30/10____
PHYSICIAN: 		Dr. Mitchell                                                   	GENDER: __M______

DOB: 02/19/1942      	Age: 68	Height: 72”           Weight: 180 lbs
START/STOP DATE/TIME
00:01 thru 24:00 MN	MEDICATION	ADMINISTRATION TIMES
	
	Furosemide (Lasix) 80 mg IV BID
	1000              1800    	
	Altace 5 mg PO daily (substitute lisinopril)
	10:00	
	Coreg 3.125 mg PO BID 
(hold for SBP <90)
	10:00             18:00	
	Amiodarone 200 mg PO daily
	10:00	
	K-Dur 40 mEq PO BID (with food)	10:00             18:00
	
	Spironolactone 12.5 mg PO Daily	10:00 
    	
	Coumadin 2.5 mg PO Daily	1000
	
	Lipitor 20 mg PO Daily	                     18:00
    	
	Zoloft 50 mg PO hs	                               22:00	
	Saline flush every shift	08:00    14:00         22:00
  	
PRN MEDICATIONS
	Morphine Sulfate 1-2 mg IVP Q2h prn chest pain & follow standing protocol.	___________________________
___________________________
___________________________	
	Ativan 0.5 mg po Q6H PRN c/o Anxiety	

	

Name/Initial/Signatures

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Continuation: Scheduled Medications

START/STOP DATE/TIME
00:01 thru 24:00 MN	MEDICATION	ADMINISTRATION TIMES

			

			

			

PRN Medications

	Tylenol 650 mg po or prn for headache or mild to moderate pain.		

	Natrecor gtt: IV per MD Standing Orders:

Name/Initial/Signatures

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